<?php if (!defined('BASEPATH')) exit('No direct script access allowed'); ?>

	
<form action="<?php echo site_url('admin/dataman/seller/submit_information');?>" name="submit_information" id="submit_information" method="post" enctype="multipart/form-data" >
	
	<div class="row" style="width:100%;">
		
		<div class="clrboth"></div>
		<div class="column grid_9">
			<div class="column grid_2"><span class="red">*</span>Email:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="email" id="email" value="<?php echo $items->getEmail();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="email_error">
				<span class="red">Please fill email.</span>
			</div>
			
			<div class="clrboth"></div>
			<div class="column grid_2"><span class="red">*</span>Password:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="password" id="password" value="<?php echo $items->getPasswd();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="password_error">
				<span class="red">Please fill password.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>First name:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="first_name" id="first_name" value="<?php echo $items->getFirstName();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="first_name_error">
				<span class="red">Please fill first name.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Last name:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="last_name" id="last_name" value="<?php echo $items->getLastName();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="last_name_error">
				<span class="red">Please fill last name.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Job title:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="job_title" id="job_title" value="<?php echo $items->getJobTitle();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="job_title_error">
				<span class="red">Please fill job title.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Company/Organization:</div>
			<div class="column grid_3">
				<input type="text" maxlength="200" name="company" id="company" value="<?php echo $items->getCompany();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="company_error">
				<span class="red">Please fill company/organization.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Country:</div>
			<div class="column grid_3">
				<input type="text" maxlength="100" name="country" id="country" value="<?php echo $items->getCountry();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="country_error">
				<span class="red">Please fill country.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Address Line 1:</div>
			<div class="column grid_3">
				<input type="text" maxlength="200" name="address_line_1" id="address_line_1" value="<?php echo $items->getAddressLine1();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="address_line_1_error">
				<span class="red">Please fill address line 1.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Address Line 2:</div>
			<div class="column grid_3">
				<input type="text" maxlength="200" name="address_line_2" id="address_line_2" value="<?php echo $items->getAddressLine2();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>City:</div>
			<div class="column grid_3">
				<input type="text" maxlength="200" name="city" id="city" value="<?php echo $items->getCity();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="city_error">
				<span class="red">Please fill city.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>State:</div>
			<div class="column grid_3">
				<input type="text" maxlength="200" name="state" id="state" value="<?php echo $items->getState();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="state_error">
				<span class="red">Please fill state.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Zip (postal code):</div>
			<div class="column grid_3">
				<input type="text" maxlength="20" name="zip" id="zip" value="<?php echo $items->getZip();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="zip_error">
				<span class="red">Please fill zip.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2"><span class="red">*</span>Work Phone:</div>
			<div class="column grid_3">
				<input type="text" maxlength="20" name="work_phone" id="work_phone" value="<?php echo $items->getWorkPhone();?>" size="40" />
			</div>
			<div class="column grid_3 hidden" id="work_phone_error">
				<span class="red">Please fill work phone.</span>
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Mobile:</div>
			<div class="column grid_3">
				<input type="text" maxlength="20" name="mobile" id="mobile" value="<?php echo $items->getMobile();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			<div class="column grid_2"><b>Bank information</b> </div>
			<div class="clrboth"></div>
			
			<div class="column grid_2">Name of Account:</div>
			<div class="column grid_3">
				<input type="text"  maxlength="200" name="bank_name_acc" id="bank_name_acc" value="<?php echo $items->getBankNameAcc();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Account No:</div>
			<div class="column grid_3">
				<input type="text"  maxlength="200" name="bank_acc_no" id="bank_acc_no" value="<?php echo $items->getBankAccNo();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Bank Name:</div>
			<div class="column grid_3">
				<input type="text"  maxlength="200" name="bank_name" id="bank_name" value="<?php echo $items->getBankName();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Bank Address:</div>
			<div class="column grid_3">
				<input type="text"  maxlength="200" name="bank_address" id="bank_address" value="<?php echo $items->getBankAddress();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			
			<div class="column grid_2">Swift Code:</div>
			<div class="column grid_3">
				<input type="text"  maxlength="200" name="swift_code" id="swift_code" value="<?php echo $items->getSwiftCode();?>" size="40" />
			</div>
			
			<div class="clrboth"></div>
			<br/>
			<div class="column grid_2">
				&nbsp;
			</div>
			<div class="column grid_2">
				<input type="submit" id="button_submit_edit_infor" name="button_submit_edit_infor" value="Submit" class="ui-corner-all button-yellow" />
				&nbsp;&nbsp;&nbsp;
				<?php echo loader_image(" class='hidden' id='loader' ");?>
			</div>
			
			<div class="clrboth"></div>
		</div>
	</div>
	
	<input type="hidden" name="user_id" id="user_id" value="<?php echo $items->getId();?>" />
	
</form>	

<div class="clrboth"></div>


